Organization
MERCY CLINIC-SPRINGFIELD COMMUNITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM J ROBERTS (CFO)
(417) 820-7363
Entity
Organization
Contact information
Practice address
1229 E SEMINOLE ST STE 110, SPRINGFIELD, MO 65804-2227
(417) 820-9393
(417) 820-3758
Mailing address
1229 E SEMINOLE ST STE 110, SPRINGFIELD, MO 65804-2227
(417) 820-9393
(417) 820-3758
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
110288
MO
207W00000X
Ophthalmology Physician
R4G22
MO
207X00000X
Orthopaedic Surgery Physician
2000146094
MO
207Y00000X
Otolaryngology Physician
100206
MO
208200000X
Plastic Surgery Physician
R4611
MO
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MO
Other
Enumeration date
01/03/2007
Last updated
07/18/2024
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